TANYA WILLARD NURSE PRACTITIONER
NPI 1003465865
Nurse Practitioner - Family in Salem, VA
About Tanya Willard Nurse Practitioner NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TANYA WILLARD NURSE PRACTITIONER (NPI 1003465865) is an individual family provider in Salem, Virginia, licensed in Virginia (F08191103) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tanya Willard Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Tanya Willard reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Dallas, TX 75244
- Reassigned Medicare billing, Virginia enrollment
- 501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 24153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SALEM, VA 24153
SALEM, VA 24153
SALEM, VA 24153
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tanya Willard's NPI number?
The NPI number for Tanya Willard is 1003465865. It was assigned to this individual provider in the NPPES registry on September 5, 2019.
Where is Tanya Willard located?
Tanya Willard practices at 1970 Roanoke Blvd, Salem, VA 24153. The listed phone number is (540) 982-2463.
What is Tanya Willard's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Tanya Willard enrolled in Medicare?
Yes. Tanya Willard is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Tanya Willard's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tanya Willard reassigns Medicare benefits to Signify Health, LLC (Dallas, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tanya Willard's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tanya Willard was last updated on October 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tanya Willard, NURSE PRACTITIONER · NPI 1003465865
Family physician in Salem, Virginia. Individual provider, active in the CMS NPPES registry since September 5, 2019.
## Identity
- **NPI:** 1003465865 (Entity type: Individual)
- **Enumerated:** September 5, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F08191103 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1970 ROANOKE BLVD, Salem, VA 24153-6404
- **Phone:** (540) 982-2463
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Signify Health, LLC (NPI 1689158487, Dallas, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 19, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1003465865) · Data from the CMS NPPES public registry.